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Episodic, frequent and severe heartburn. Are these terms familiar
to you? They describe distinct types of heartburn that sufferers
can experience based on the frequency and severity of their symptoms.
If you've never heard of them, you may be not following the most
appropriate treatment for your heartburn.
Heartburn is a burning discomfort that is generally felt in
the chest just behind the breastbone. The burning sensation results
when harsh stomach juices come in contact with and irritate the
delicate lining of the esophagus, the tube-like structure that
connects the mouth to the stomach.
These juices, which are produced by the stomach to help the
body break down food, contain a powerful acid called hydrochloric
acid. While the stomach is naturally protected from this potent
acid, the esophagus does not share the same protective qualities
as the stomach. So, if acidic stomach contents come into contact
with the esophagus, its skin-like lining can be irritated or
injured and result in the sensation known as heartburn.
Heartburn is caused when acidic stomach juices reflux — or
flow backward — into the esophagus. This generally occurs
when the lower esophageal sphincter (LES) — the natural
valve that keeps stomach acid in the stomach and out of the esophagus — relaxes
or is not functioning properly.
When functioning normally, the LES opens like a door that allows
food into the stomach but not out the same way. However, at times
the LES relaxes and allows stomach juices to flow upward into
the esophagus. This relaxation exposes the esophagus to the harsh
acid from the stomach. Physicians refer to this as gastroesophageal
reflux.
In a National Heartburn Alliance survey conducted in 2005, only
41 percent of sufferers could correctly diagnose their type of
heartburn using terms commonly referenced by health professionals — episodic,
frequent and severe — yet nearly 63 percent of heartburn
sufferers believed they could.
For more information: the National Heartburn Alliance at www.heartburnalliance.org (opens
in a new window)
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